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Home My WebLink About49768-Z t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE °; SOUTHOLD, NY " BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 49768 Date: 9/22/2023 Permission is hereby granted to: Puric Family Irr Trt C/O Peter Puric co-trustee PO BOX 674 New Suffolk NY 11956 To: legalize "as built" AC as applied for. At premises located at: 1250 Second St, New Suffolk SCTM #473889 Sec/Block/Lot# 117.-7-23 Pursuant to application dated 8/30/2023 and approved by the Building Inspector. To expire on 3/23/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htt s:/f rww,southoldtownn . roy Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only Jl PERMIT NO. Building Inspector. U Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted.,,VVhere the Applicant is not the owner,an U11T)TNIG,DEPT, Owner's Authorization form(Page 2)shall be completed. TOWN Date: OWNER(S)OF PROPERTY: Name: Z --rl . = 'SCTM #1 )00- -7 —� a3 Project Address: fJ J�? CSG// �� _ :7� Email: Phone#: 01- 3% - 3�s 9 Mailing Address:/_� (1 ��` � If� /�D.�iO�`� ` " = 1�� 1/�� .its // 5 CONTACT PERSON: Name: Q �^ /OI• L Mailing Address:// r=�/� �/s , ,,?�f/ ✓ C" O/.vj' �z=��O,�/� // � Phone#:/ ,3/�? _.3./d—q Email a,�Qf ®a ` 1//� , DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email:: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: CJ�Other $ Will the lot be re-graded? ❑Yesk No Will excess fill be removed from premises? Dyes OAO 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ❑No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk;County,New'York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): f�/',!/',�/,�:` Vii` - i1,4k 21.6 ,,21.Authorized Agent ❑Owner r Signature of Applicant: r7 "�c ',i��✓o�-� Date: a. CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 SS: i,ivaiified in Suffolk County COUNTY OF Commission Expires April 14, 2 Q�v being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this n of 20 1 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) i, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Depdi Lnienl fur dppruval as described herein., Owner's Signature Date Print Owner's Name 2 " BUILDING DEPARTMENT - Electrical Inspector + � TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rrr southoldtownn ov wand outholdtownn ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORM ION (All Information Required) Date: Company Name: or Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: , a , , ZI. '✓le — (114 1914 Address: Cross Street: Phone No.: .. Bldg.Permit email: Tax Map District: 1000 Section: J Block: -7 Lot: BRIEF DESCRIP ION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES [] NO Issued On Temp Information: (All information required) Service Size 1 Ph 03 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead ' # Underground Laterals 1 2 H Frame Pole Work done on Service? LY "LJN Additional Information: PAYMENT DUE WITH APPLICATION stw-Mechardeal PO Box 797 Cutchogue, NY 11935 US AUC ? 23 astarzeeQv gmail.com IINVO�CE . 111 TO -SHIP TO INVOICE# 11603 Peter Puric Peter Puric DATE 05/06/2013 P.O. Box 674 Peter Puric DUE DATE 05/06%2013 New Suffolk, NY 11956 1250 2nd Street New Suffolk, NY 11956 sHiP DATE 05/06/2013 DATE - DESCRIPTION AMOUNT Installed 3 ton Rheem, 13 seer, high efficiency condenser and air handler 0.00 with 410 refrigerant. Condenser was set at residence exterior within 40 feet of air handler on pre-cast slab. Air handier was suspended from attic rafters by kindorf and threaded rod. Auxiliary drain pan with moisture sensor was placed under air handler. All supply outlets were run in flexi duc ith 8"x 8"ceiling diffusers 6"x 0.00 10"wall outlets. - Installed copper line set,ther ire, PVC drain and (1) White-Rogers 0.00 day night programmable tat. All supply and return tru uct work was fabricated from 26 gauge 0.00 galvanized metal and wrap d with 1 1/2"foil insulation. Installed required return air grills in all necessary areas. 0.00 Supply outlets were located in each room as required. 0.00 Lima quality grills were installed throughout entire residence. 0.00 Installed (1) 14"x 30"filter grill with extra box of filters for future use. 0.00 0.00 0.00 Note: 1 year warranty on all parts and labor. All factory warranties honored 0.00 .. .... Note- Please sign and return the enclosed certificate of capital BALANCE DUE $0-00 improvement with your payment. All materials is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. STAR MECHANICAL IS NOT RESPONSIBLE FOR ANY ELECTRICAL OR GAS PIPING. Any alteration from the above specifications will be executed only upon written orders and will become an extra charge over and above this estimate. This price is valid for 30 days Star Mechanical PO Box 797 Cutchogue, NY 11935 US astarzeeC gmail.com BILL TO SHIP TO INVOICE# 13852 Robert Puric Mom's house DATE 03/20/2023 11 Francis Path New Suffolk DUE DATE 04/19/2023 Rocky Point„ New York 11778 TERMS Net 30 DATE DESCRIPTION AMOUNT 03/09/2023 Service Call: Installed (2) WiFi thermostats purchased by client. 175.00T SUBTOTAL 175.00 TAX 15.09 O 190.09 !� ENT 1-9.0.09 — ANCE DUE $0 00 O All materials is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. STAR MECHANICAL IS NOT RESPONSIBLE FOR ANY ELECTRICAL OR GAS PIPING. Any alteration from the above specifications will be executed only upon written orders and will become an extra charge over and above this estimate. This price is valid for 30 days